Claire's Confections General Order Form
After you fill out this order request, we will contact you to go over details and availability before the order is completed. If you would like faster service and direct information on current stock and pricing please contact us at (2020-355-4097 or clairezegger@gmail.com
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Full Name *
Email Address *
Phone Number *
If you would like to order bread loaves, please select which flavor
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If ordering bread, select your quantity of loaves
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If you would like to order cookies, please select which flavor
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If ordering cookies, please select quantity
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How would you like to receive your order? *
On what date would you like to receive your order? *
MM
/
DD
/
YYYY
At what time would you like your order to be ready for delivery/pick up?
Time
:
If requesting delivery, please include address for delivery
If you have any allergies or dietary restrictions, please list below
Questions/Comments/Additional Requests
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